Key result
Fibromodulin overexpression in diabetic cardiomyopathy models downregulated Col15a1 and increased the Col1a1/Col3a1 ratio, which may influence diastolic heart failure by modulating myocardial stiffness.
Why the study?
The role and mechanism of fibromodulin in diabetic cardiomyopathy-related myocardial fibrosis remained unclear.
Does fibromodulin modulation affect myocardial fibrosis markers in a diabetic cardiomyopathy rat model?
Does fibromodulin modulation affect myocardial fibrosis markers in a diabetic cardiomyopathy rat model?
Fibromodulin overexpression promotes myocardial fibrosis markers and increases the Col1a1/Col3a1 ratio while downregulating Col15a1 in a diabetic cardiomyopathy model, suggesting a mechanism for increased myocardial stiffness.
Hypothesis-generating for fibromodulin in diabetic cardiomyopathy fibrosis; human studies needed before clinical translation.
Diabetic cardiomyopathy (DCM) is pathologically characterized by excessive deposition of extracellular matrix proteins, leading to myocardial fibrosis. Fibromodulin (Fmod) plays a crucial role in the pathogenesis of fibrotic diseases. However, the role and mechanism of Fmod in DCM-related myocardial fibrosis remain unclear. In the present study, we established a DCM rat model and an in vitro model of rat primary cardiac fibroblasts (RPCFs) exposed to high glucose. We assessed mRNA and protein expression levels of Col1a1, Col3a1, α-SMA and Fmod in both models. Fmod-overexpressing (ov-Fmod) and Fmod-knockdown (si-Fmod) rat cardiac fibroblasts (RCFs) were generated. Subsequently, whole RNA sequencing was conducted on ov-Fmod RCFs. The gene Col15a1 was evaluated in the DCM rat and all cell models. The correlation between plasma levels of Fmod and Col15a1 in DCM rat models was assessed. Transcription and protein levels of Fmod, Col1a1, Col3a1 and α-SMA were significantly elevated in DCM rat hearts and RPCFs. In ov-Fmod RCFs, fibrosis markers were similarly increased, except for Col3a1, which decreased. The Col1a1/Col3a1 ratio was elevated. Conversely, knocking down Fmod yielded opposite results. Gene Ontology and Kyoto Encyclopedia of Genes and Genomes analyses indicated that Fmod participates in multiple fibrosis-related pathways, affecting Col15a1. Expression of Col15a1 was significantly decreased in all models, compared to controls, except in si-Fmod RCFs. Importantly, Col15a1 and Fmod in plasma exhibited an inverse relationship in DCM. In summary, Fmod is implicated in DCM, with Fmod overexpression downregulating Col15a1 and increasing the Col1a1/Col3a1 ratio. This mechanism may influence diastolic heart failure in DCM by modulating myocardial stiffness and elasticity.
No takes yet. Share an insight, caveat, or question.
Yang et al. (2024) studied Diabetic cardiomyopathy. Fibromodulin (Fmod) overexpression or knockdown vs. Control was evaluated on Myocardial fibrosis markers (Col1a1, Col3a1, α-SMA, Col15a1). Fibromodulin overexpression in diabetic cardiomyopathy models downregulated Col15a1 and increased the Col1a1/Col3a1 ratio, which may influence diastolic heart failure by modulating myocardial stiffness.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: